在农村一级创伤中心对二次过量的评估
Jennifer Osher1, Allen Archer1, Matthew A Heard2
1Quillen College of Medicine, East Tennessee State University, Johnson City, TN, USA.
The American surgeon
|June 15, 2024
概括
二次过量选 (SO) 影响了阿巴拉契亚健康系统中43%的创伤转移患者. 减少SO可以优化创伤系统资源和患者护理.
科学领域:
- 创伤外科手术是什么
- 医疗保健系统研究研究
- 患者转移协议 患者转移协议
背景情况:
- 二次过量选 (SO) 发生在患者被转移到比必要更高的护理水平时.
- 了解SO患病率对于优化创伤系统资源配置至关重要.
- 农村医疗保健系统在管理患者转移方面面临着独特的挑战.
研究的目的:
- 为了确定农村阿巴拉契亚医疗保健系统中二次过量选 (SO) 的患病率.
- 分析患有SO的患者的特征.
- 确定改善创伤转移协议的潜在领域.
主要方法:
- 对2017-2022年创伤登记数据的回顾性分析.
- 根据伤害严重性得分 (ISS),手术干预和出院时间,将转移患者分为SO和非SO组的分层.
- 群体之间的人口统计数据,停留时间和受伤严重程度的比较.
主要成果:
- 在3,291名创伤转移患者中,43%的人符合SO的标准.
- SO患者年轻,住院和ICU停留时间较短,ISS更低.
- 头部/部伤害 (AIS ≥3) 在8.96%的SO患者中发生;面部伤害发生在21%的患者中.
结论:
- 在这个农村系统中,很大一部分创伤转移被归类为SO.
- 尽量减少SO可以改善患者的治疗结果,并节省医疗保健资源.
- 建议对传输数据进行机构分析,以完善协议并减少过度选.
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